Organization Active NPI

W. H. Peters M.D. PLLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Hattiesburg, MS
National Provider Identifier
1942448667
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
07762 Issued in MS
Legal business name
W. H. PETERS M.D. PLLC
Practice address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone
(601) 296-2552
Fax
(601) 296-2554
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William H. Peters, M.D.
Title
Master Administrator
Phone
(601) 264-8845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 07762 MS Primary

Addresses

Primary practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

PO Box 17708
Hattiesburg, MS 39404-7708
Phone (601) 264-8845

Other identifiers 1

IdentifierTypeStateIssuer
0013792MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1942448667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17708",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047708",
            "telephone_number": "601-264-8845",
            "fax_number": "601-264-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017200",
            "telephone_number": "601-296-2552",
            "fax_number": "601-296-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. H. PETERS M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MASTER ADMINISTRATOR",
        "authorized_official_telephone_number": "601-264-8845",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MS",
            "license": "07762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013792",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.